The impact of chewing gum on postoperative bowel activity and postoperative pain after total laparoscopic hysterectomy

Türkay, Ünal; Yavuz, Arzu; Hortu, İsmet; Terzi, Hasan; Kale, Ahmet

doi:10.1080/01443615.2019.1652891

Cited by 23 publications

(24 citation statements)

References 17 publications

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“…A recent systematic review of chewing gum after gynecological surgeries was published in 2018, extracting the data from 10 RCTs; eight studies of laparotomy and two studies of laparoscopy [29]. As of May 2021, we have recorded two additional clinical trials for chewing gum as post-operative treatment in gynecological laparoscopy [1], [25], as presented in Table 4. Those studies revealed that chewing gum increased the recovery time of gastrointestinal function.…”

Section: Discussionmentioning

confidence: 99%

“…A study in China with a wide range of laparoscopic surgeries revealed significantly shorter the first passage of flatus or first defecation in intervention group than that in control group [40]. Indication of postoperative pain level reduction was shown by studies conducted in Turkey [25] and Austria [32]. However, none of the included studies reported the reduction in hospital stay duration, which is considered as the primary outcome.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, studies with different surgical approaches and patient populations could yield different results. Only one study performed the analysis in quartiles based on the body mass index and age of the patients [25]. In comparison to others, the aforementioned study had a significance because they were the first to report the results of chewing gum after total laparoscopic hysterectomy, where chewing gum significantly shortened the time to first defecation and lowered the level of post-operative pain [25].…”

Section: Discussionmentioning

confidence: 99%

“…studies have reported the accelerated intestinal function recovery for patients treated with chewing gum after gynecological surgery [19], [20], [21]. Furthermore, chewing gum may reduce the level of post-operative pain and analgesic requirement [22], [23], [24], [25]. Nevertheless, these results are inconclusive between studies, where a study in China showed a null result [26].…”

Section: Somementioning

confidence: 99%

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The Role of Chewing Gum on Post-operative Bowel Recovery after Gynecological Laparoscopic Surgery: A Short Report and Updated Review

Kusika

Hutagaol

Yusuf³

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: Adverse post-operative complication of gynecological laparoscopic surgery, post-operative ileus, could be reduced by mimicking early post-operative oral feeding; however, the role of chewing gum is still lack evidence. AIM: This study was conducted to assess chewing gum’s role in post-operative bowel recovery after gynecological laparoscopic surgery. METHODS: This prospective clinical trial recruited 60 participants who had undergone gynecological laparoscopic surgery under general anesthesia. The study was conducted at Arifin Achmad Hospital, Riau Province, Indonesia, from January to April 2021. The patients were equally divided into two groups: Intervention (n = 30) and control (n = 30). They were asked to chew sugar-free gum every 2 h after the surgery (i.e. 5 times within 10 h post-surgery). Time of the first flatus and the first bowel sounds were recorded (i.e. 5 times of assessment within 10 h post-surgery). In addition, a literature review was conducted to add evidence of the role of chewing gum on postoperative bowel recovery after gynecological laparoscopic surgery. RESULTS: Patients from both groups had a close age range (23–44-year-old versus 21–42-year-old). Our data suggested a significant difference in the time of the first flatus between the treatment and control group (15.95 h vs. 45.05 h), p < 0.001. The length of stay in the hospital among those from the treatment group was also significantly shorter compared to controls (15.50 h vs. 45.50 h), p < 0.001. The literature review of four updated randomized clinical trials suggests chewing gum in the early onset of first flatus and bowel movement. CONCLUSION: Chewing gum following gynecological laparoscopic surgery could accelerate gastrointestinal recovery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Somementioning

confidence: 99%

See 2 more Smart Citations

The Role of Chewing Gum on Post-operative Bowel Recovery after Gynecological Laparoscopic Surgery: A Short Report and Updated Review

Kusika

Hutagaol

Yusuf³

et al. 2021

Open Access Maced J Med Sci

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“…Although we veri ed that chewing gum has positive effects on preoperative anxiety and promotes postoperative recovery without further risk, future research is needed to investigate whether chewing gum is bene cial, especially for patients with increased pulmonary aspiration risk. Forth, in this study protocol, chewing gum was encouraged freely only prior to surgery without standardized instruction, so it is di cult to determine whether gum had the effect of promoting bowel recovery, which has been reported as an advantage of chewing gum after cesarean section, gynecologic surgery, and colorectal surgery [37][38][39] .…”

Section: Discussionmentioning

confidence: 99%

Anxiolytic Effects of Chewing Gum During Preoperative Fasting and Patient-centered Outcome in Female Patients Undergoing Elective Gynecologic Surgery: Randomized controlled study

Bang

Lee

Kim

et al. 2021

Preprint

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Although previous studies reported that chewing gum during the preoperative fasting has the benefits of alleviating anxiety and dry mouth, preoperative chewing gum has yet to be accepted as a standard practice due to conventional anesthetic custom. Our study aimed to prospectively evaluate the effects of gum chewing on preoperative anxiety and patient’s discomfort in female patients undergoing gynecologic surgery. Ninety-three patients were enrolled and randomized either into conventional fasting group (control group) or chewing gum with fasting group (gum group). The control group was instructed to fast from 3 p.m on the day before surgery. The gum group performed preoperative fasting in the same manner, but was encouraged to chew gum freely during the fasting period. The primary endpoints were the degree of preoperative anxiety and discomfort immediately before surgery. For the evaluation of preoperative anxiety, Amsterdam preoperative anxiety and information scale (APAIS) was used. Preoperative gastric fluid volume and acidity were also measured as the secondary outcomes. Preoperative anxiety using APAIS was significantly lower in the gum group compared to the control group (17.8 vs. 20.9, p = 0.009). The APAIS sub-score of anxiety and information desire domain were also lower in the gum group. However, there was no significant difference in the gastric fluid analysis between the groups. In the female patients for elective gynecologic surgery, chewing gum during the preoperative fasting period helped to alleviate preoperative anxiety without additional increase of pulmonary aspiration risks. Trial registration: KCT0004422 (05/11/2019, https://cris.nih.go.kr; registration number)

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Effects of preoperative walking on bowel function recovery for patients undergoing gynecological malignancy laparoscopy

Xia

Ding

Shi

et al. 2022

Precision Medical Sciences

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To investigate effects of preoperative walking on bowel function recovery for patients after gynecological malignancy laparoscopy. The 156 patients with gynecoligical cancers after laparoscopy in Jiangsu from June 2020 to September 2021 were selected as research subjects, who were randomized into an experimental group (n = 78) and a control group (n = 78). Both of the groups received routine nursing care during the study. In addition, the experimental group underwent low‐moderate intensity walking exercise 1 week before surgery. The bowel function (including the time of first defecation, the time of first passage of flatus/”gas‐out time” and the recovery time of bowel sound), adverse events (nausea, vomiting abdominal distension and abdominal pain), as well as postoperative complications (ileus symptoms, deep venous thrombosis, infections and etc.), were measured daily. The time of first defecation, the time of first passage of flatus and the recovery time of bowel sound in experimental group were less than the control group after treatment (p < .05). Repeated measures analysis of variance showed that the adverse reactions (nausea, vomiting, abdominal distension, abdominal pain, and ileus symptoms) of the experimental group were weaker than those of the control group at different time points after the intervention (p < .05). Walking before surgery can effectively promote the recovery of bowel function and reduce the adverse reactions, as well as the risk of ileus related to gynecological malignancy laparoscopy.

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The impact of chewing gum on postoperative bowel activity and postoperative pain after total laparoscopic hysterectomy

Cited by 23 publications

References 17 publications

The Role of Chewing Gum on Post-operative Bowel Recovery after Gynecological Laparoscopic Surgery: A Short Report and Updated Review

The Role of Chewing Gum on Post-operative Bowel Recovery after Gynecological Laparoscopic Surgery: A Short Report and Updated Review

Anxiolytic Effects of Chewing Gum During Preoperative Fasting and Patient-centered Outcome in Female Patients Undergoing Elective Gynecologic Surgery: Randomized controlled study

Effects of preoperative walking on bowel function recovery for patients undergoing gynecological malignancy laparoscopy

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